Olayinka Oladimeji-Stevens, PT
Individual provider Active NPI Physical Therapist · Finksburg, MD
NPI 1104043637 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104043637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 18804 (MD)
- Practice address
- 4328 Lake Forest CT
Finksburg, MD 21048-2621 - Phone
- (410) 549-2339
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18804 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18804 | MD | Yes |
Addresses
Primary practice location
4328 Lake Forest CT
Finksburg, MD 21048-2621
Mailing address
4328 Lake Forest CT
Finksburg, MD 21048-2621
Phone (410) 549-2339
Other providers in Finksburg, MD
- Abraham Mathew
- Susan R McFadden
- Dominique Miller
- Helen Anita Miller
- New Harmony LLC
- Owotutu Yewande Oluwasuji
- Brittany Kayla Osburn
- David R Pack
- Perfect Generation Ministries, Inc.
- William Thomas Petersen
All providers in Finksburg, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.